微血管减压术治疗原发性三叉神经痛疗效观察

目的：探讨三叉神经痛采用微血管减压术治疗的疗效。方法选取本院自2010年2月-2013年2月收治的100例行微血管减压术治疗原发性三叉神经痛的患者，所有患者均经磁共振成像确诊，排除继发性三叉神经痛，随机分为治疗组和对照组。治疗组50例，采取微血管减压术治疗原发性三叉神经痛；对照组50例，采取部分切断术治疗原发性三叉神经痛。统计两组总有效率以及手术情况，并进行分析。结果治疗组总有效率达94.0%，对照组总有效率为60.0%，两组总有效率比较，差异具有统计学意义（P〈0.05）；治疗组手术情况（手术时间、住院天数及术中出血量）明显优于对照组，差异具有统计学意义（P〈0.05）。结论微血管减压术是原发性三叉神经痛可靠和安全的手术治疗方法，治疗有效率高于部分切断术治疗原发性三叉神经痛，临床疗效确切，值得推广。

Efficacy of microvascular decompression in treatment of trigeminal neu-ralgia

Objective To investigate the curative effect of trigeminal neuralgia treated by microvascular decompression. Methods A total of 100 cases of microvascular decompression in the treatment of primary trigeminal neuralgia patients were selected from 2010 February to 2013 February in our hospital, all patients were diagnosed by magnetic resonance imaging, excluding the secondary trigeminal neuralgia, were randomly divided into treatment group and control group, 50 cases in the treatment group, the microvascular decompression in the treatment of primary trigeminal neuralgia; Ob-servation group of 50 cases, take partial rhizotomy for treatment of primary trigeminal neuralgia. Counted the total effi-ciency of two groups and the operation situation, carries on the analysis. Results The effective rate of treatment group was 94.0%, and the total efficiency of control group was 60.0%, the total efficiency of two groups had statistical sig-nificant difference （P〈0.05）;Operation situation （operation time, hospitalization daysand intraoperative hemorrhage vol ume） was significantly better than the control group, the difference was statistically significant（P〈0.05）. Conclusion Microvascular decompression is the primary trigeminal neuralgia is reliable and safe operationmethod of treatment, the effective rate of treatment is higher than the partial amputation the treatment of primary trigeminal neuralgia, clinical curative effect, is worth promoting.